Sexual Health & ED Meds
Tadalafil (Cialis)
Street names: Cialis, Vidalista, Tadacip, Weekend pill
Overdose? Act now. Call emergency services — say "unresponsive, not breathing". Give naloxone for opioid-like signs. Hotlines
⚡What it does
- PDE5 inhibitor — erection support for 24–36 h
- Also prescribed for pulmonary hypertension and BPH
⚠Key risks
- #1 counterfeit-drug target alongside sildenafil — fake Cialis regularly contains unlisted sildenafil or nothing
- DANGEROUS with nitrates (nitroglycerin, poppers): severe blood-pressure collapse
- Grey-market 'super-strength' tablets (40–80 mg) cause prolonged erections requiring ER care
- Heart patients self-medicating without screening risk cardiac events
✚Overdose signs
- Erection lasting >4 h (priapism — emergency)
- Sudden vision/hearing loss
- Chest pain, fainting
Category comparison — Sexual Health & ED Meds
| Substance | Class | Top risks | Street price |
|---|---|---|---|
| Tadalafil (Cialis) | Rx-only | #1 counterfeit-drug target alongside sildenafil — fake Cialis regularly contains unlisted sildenafil or nothing; DANGEROUS with nitrates (nitroglycerin, poppers): severe blood-pressure collapse | ~$10–20/pill grey-market generic |
| Tadalafil (Cialis) | Rx-only — not controlled | Counterfeit ED pills are a major fentanyl/adulterant channel in some regions; Dangerous blood pressure drop with nitrates | ~$2–$15 per tablet |
| Sildenafil (Viagra) | Rx-only — not a controlled drug | THE most counterfeited drug class in the world — fake sildenafil is a leading fentanyl-pill channel in some regions; Dangerous blood-pressure drop with nitrates (heart meds) — potentially fatal combo | ~$1–$15 per tablet |
| Vardenafil (Levitra) | Rx-only — not controlled | Same nitrate danger as all PDE5 inhibitors (fatal BP drop); Counterfeit Levitra extremely common | ~$1–$12 per tablet grey-market vs pharmacy |
| Dapoxetine & combo pills | Rx-only | Serotonin syndrome risk — especially with real antidepressants, MDMA, or other serotonergic drugs; Syncope (fainting) — the labeled warning; take with water, standing up slowly | ~$1–$4 per combo tablet grey-market |
| Gas-Station Sex Pills ('Rhino' & Knockoffs) | Sold as 'supplements' — FDA warns they are adulterated drugs | FDA has issued hundreds of warnings: hidden drug doses can crash blood pressure, especially with nitrates or heart meds; Analogs are untested — some cause days-long painful erections (priapism = emergency) | ~$5–$15 per pill/pack |
Street prices are regional estimates. Potency and cuts vary constantly.
?Frequently asked questions
What does Tadalafil (Cialis) look like?
Yellow almond-shaped tablets (brand); grey-market generics in every color; also sold as 'Cialis soft tabs' and liquids
What are the signs of a Tadalafil (Cialis) overdose?
Erection lasting >4 h (priapism — emergency); Sudden vision/hearing loss; Chest pain, fainting Call emergency services immediately.
How addictive is it?
#1 counterfeit-drug target alongside sildenafil — fake Cialis regularly contains unlisted sildenafil or nothing Dependence can develop with regular use.